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Helping Clinicians Address Digital Information About Contraception With Adolescents
Helping Clinicians Address Digital Information About Contraception With Adolescents
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202105311
- ISBN
- 9798270295547
- DDC
- 610
- 저자명
- Smith, Cambray.
- 서명/저자
- Helping Clinicians Address Digital Information About Contraception With Adolescents
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 166 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-07, Section: B.
- 주기사항
- Advisor: Frerichs, Leah.
- 학위논문주기
- Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약Adolescents frequently encounter contraceptive information online, though its quality varies, and many struggle to discern trustworthy sources given limited knowledge and prevalent misinformation. In the context of increasingly restrictive reproductive laws and threats to contraceptive access in the United States, supporting reproductive justice and informed decision-making about contraception is essential. Yet clinicians often lack strategies to address online information in clinical encounters, which exacerbates low rates of person-centered counseling for minors and contributes to dissatisfaction and use of non-preferred methods. This dissertation aimed to strengthen adolescent-centered contraceptive care by improving clinician communication. Aim 1 involved a qualitative content analysis of N=297 Reddit posts from adolescents/young adults (AYA) and caregivers. AYA (n=268) most often sought direct medical or behavioral advice (38%), contraceptive knowledge (15%), pregnancy scare guidance (11%), and communication or access advice (9%). They also shared sex/contraception education (13%) and opinions on contraceptive rights or behaviors (12%). Caregivers (n=29) most often sought method recommendations (38%), expressed moral concerns (35%), or sought knowledge (17%) and communication advice (10%). Across all posts (N=297), including 10% with randomly sampled comments, 15% contained misconceptions. Few posts expressed positive emotions (10%) or trust (10%), and many conveyed negative emotions (60%), mistrust (28%), and anti-hormonal sentiment (16%). Aim 2 analyzed interviews with 24 clinicians specializing in adolescent sexual and reproductive health. Clinicians identified ways to integrate online information into encounters, described strategies for digital and health literacy, and shared approaches for addressing disagreements with patient-identified information. They also emphasized the importance of using patient-centered language, including careful framing of the term "misinformation." Aim 3 tested a training on incorporating discussion of online information about contraception into routine counseling, co-developed with N=20 advisors (teens, caregivers, clinicians). Pilot testing with N=35 clinicians demonstrated acceptability (mean=4.6, SD=0.5), appropriateness (4.7, 0.5), and feasibility (4.6, 0.5). Participants demonstrated immediate and sustained (4-month) improvements in knowledge, beliefs, self-efficacy, and self-reported counseling behaviors (p0.05). This dissertation advances understanding of adolescent and caregiver contraceptive concerns and provides actionable strategies for clinical communication around online health information, addressing a critical social determinant of health in the digital age.
- 일반주제명
- Medicine
- 일반주제명
- Communication
- 일반주제명
- Web studies
- 키워드
- Adolescents
- 키워드
- Contraception
- 키워드
- Social media
- 키워드
- Caregivers
- 기타저자
- The University of North Carolina at Chapel Hill Health Policy and Management
- 기본자료저록
- Dissertations Abstracts International. 87-07B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■006m o d
■007cr#unu||||||||
■020 ▼a9798270295547
■035 ▼a(MiAaPQ)AAI32284611
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610
■1001 ▼aSmith, Cambray.
■24510▼aHelping Clinicians Address Digital Information About Contraception With Adolescents
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a166 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-07, Section: B.
■500 ▼aAdvisor: Frerichs, Leah.
■5021 ▼aThesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aAdolescents frequently encounter contraceptive information online, though its quality varies, and many struggle to discern trustworthy sources given limited knowledge and prevalent misinformation. In the context of increasingly restrictive reproductive laws and threats to contraceptive access in the United States, supporting reproductive justice and informed decision-making about contraception is essential. Yet clinicians often lack strategies to address online information in clinical encounters, which exacerbates low rates of person-centered counseling for minors and contributes to dissatisfaction and use of non-preferred methods. This dissertation aimed to strengthen adolescent-centered contraceptive care by improving clinician communication. Aim 1 involved a qualitative content analysis of N=297 Reddit posts from adolescents/young adults (AYA) and caregivers. AYA (n=268) most often sought direct medical or behavioral advice (38%), contraceptive knowledge (15%), pregnancy scare guidance (11%), and communication or access advice (9%). They also shared sex/contraception education (13%) and opinions on contraceptive rights or behaviors (12%). Caregivers (n=29) most often sought method recommendations (38%), expressed moral concerns (35%), or sought knowledge (17%) and communication advice (10%). Across all posts (N=297), including 10% with randomly sampled comments, 15% contained misconceptions. Few posts expressed positive emotions (10%) or trust (10%), and many conveyed negative emotions (60%), mistrust (28%), and anti-hormonal sentiment (16%). Aim 2 analyzed interviews with 24 clinicians specializing in adolescent sexual and reproductive health. Clinicians identified ways to integrate online information into encounters, described strategies for digital and health literacy, and shared approaches for addressing disagreements with patient-identified information. They also emphasized the importance of using patient-centered language, including careful framing of the term "misinformation." Aim 3 tested a training on incorporating discussion of online information about contraception into routine counseling, co-developed with N=20 advisors (teens, caregivers, clinicians). Pilot testing with N=35 clinicians demonstrated acceptability (mean=4.6, SD=0.5), appropriateness (4.7, 0.5), and feasibility (4.6, 0.5). Participants demonstrated immediate and sustained (4-month) improvements in knowledge, beliefs, self-efficacy, and self-reported counseling behaviors (p0.05). This dissertation advances understanding of adolescent and caregiver contraceptive concerns and provides actionable strategies for clinical communication around online health information, addressing a critical social determinant of health in the digital age.
■590 ▼aSchool code: 0153.
■650 4▼aMedicine
■650 4▼aCommunication
■650 4▼aWeb studies
■653 ▼aAdolescents
■653 ▼aContraception
■653 ▼aSocial media
■653 ▼aCaregivers
■690 ▼a0564
■690 ▼a0459
■690 ▼a0646
■71020▼aThe University of North Carolina at Chapel Hill▼bHealth Policy and Management.
■7730 ▼tDissertations Abstracts International▼g87-07B.
■790 ▼a0153
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17360145▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
